{
"Npi": {
"NPI": "1770198319",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ADEMILUYI",
"FirstName": "TENILLE",
"MiddleName": "HOSKINS",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LCSW-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "14521 BUBBLING SPRING RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BOYDS",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20841-4397",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "301-806-6435",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1208 E CHURCHVILLE RD STE 300",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BEL AIR",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21014-3485",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "410-893-4600",
"PracticeLocationAddressFaxNumber": "443-640-4358",
"EnumerationDate": "09/10/2020",
"LastUpdateDate": "10/28/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "104100000X",
"TaxonomyName": "Social Worker",
"LicenseNumber": "24652",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "24652",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}